The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. Which priority issue should the nurse address to ensure the newborn's survival?

Choice A reason: Bleeding tendencies (e.g., vitamin K deficiency) are concerns later, not immediate; establishing respirations and warmth are critical first for survival post-delivery. Choice B reason: Fluid balance matters after initial stabilization; newborns have adequate fluid reserves at birth, but breathing and temperature regulation are urgent for survival initially. Choice C reason: Hypoglycemia risks emerge hours post-birth, not minutes; ensuring respirations and preventing heat loss take precedence to sustain oxygenation and metabolism first. Choice D reason: Heat loss threatens survival in minutes due to wet skin and large surface area; maintaining temperature supports respiration and metabolic stability in newborns.